二、三级医院机动护士岗位设置的调查

Investigation on post setting of mobile nurses in grade Ⅱ ＆amp; Ⅲ hospitals

目的：探讨护士对机动护士知晓度、设岗需求和能力要求，为机动护士的设置和发展提供依据。方法采用便利抽样法调查4省120家医院1415名护理人员对机动护士岗位知晓度、需求意愿和能力要求。结果护士对机动护士的知晓度为84．45％；仅20．83％的医院有机动护士岗位。三级医院、床位使用率≥90％的病区和外科病区对机动护士需求得分分别为（4．40±0．98），（4．46±0．87），（4．35±1．04）分，高于二级医院、床位使用率＜90％和内科病区，差异有统计学意义（ t／F 值分别为20．17，207．49，10．92；P＜0．05）。结论我国机动护士的管理、运行处于起步阶段；三级医院外科病区对机动护士的需求迫切；机动护士需具备全科护士能力和急救监护技能。

Objective To investigate the awareness , the nursing position demand and capacity requirements of mobile nurses , so as to provide the basis for setting and development of the mobile nurses . Methods Investigated 1 415 nursing staff from 120 hospitals in four provinces about mobile nurse awareness , willingness and ability requirements .Results The awareness of mobile nurses to nurses was 84.45%, only 20.83%of the hospital departments had mobile nurses .Position demand scores of tertiary hospitals , wards with bed utilization rate 90%or higher, and surgery departments respectively were （4.40 ±0.98）, （4.46 ±0.87）, and（4.35 ±1.04）,more higher than that of second-class hospital, wards with bed utilization rate less than 90%, and medicine departments, and significant difference was statistically significant （t/F=20.17,207.49, 10.92,respectively;P〈0.05）.Conclusions The management and operation of mobile nurses in China is in the initial stage, mobile nurses are urgent needed in the surgical ward of tertiary hospitals .Mobile nurses should possess general nurses ability and emergency care skills .